Revenue Center Representative Payee (RP) Indicator Code

This variable is contained in the following files:

Original Medicare (Fee-for-Service) Home Health Agency Original Medicare (Fee-for-Service) Hospice Original Medicare (Fee-for-Service) Outpatient Original Medicare (Fee-for-Service) Skilled Nursing Facility

SAS Name

REV_CNTR_RP_IND_CD

This field at the line level to designate bypassing of the prior authorization processing for claims with a representative payee when an 'R' is present in the field.

Comments

This field comes from the REV-RP-IND-CD that is present on the first claim record RP-IND-CD on the first claim then take the first found code (R) on any of the other claims that make up the stay.

Note that there is also a Claim Representative Payee (RP) Indicator Code (SAS variable called CLM_RP_IND_CD).

This field is first available in 2015.

Source: NCH

Code	Code value
R	bypass representative payee